心脏康复计划配合中药对心脏神经官能症患者焦虑抑郁及生活质量的影响
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摘要
目的:分析心脏康复计划配合柴胡龙牡汤对心脏神经官能症患者焦虑抑郁情绪及生活质量的影响。方法:选取于2016年3月—2017年4月本院收治的60例心脏神经官能症患者作为本次研究对象,按数字随机表法随机均分为两组。对照组以血塞通软胶囊治疗;观察组采用加柴胡龙牡汤结合心脏康复计划进行治疗比较两组患者治疗后的临床疗效,对两组治疗前后焦虑、抑郁情况、生活质量及中医证候情况进行评分比较。结果:两组经治疗后观察组总有效率90.00%,明显大于对照组总有效率70.00%,观察组临床疗效明显优于对照组(P<0.05),治疗后观察组忧郁、焦虑评分及中医症状评分明显低于对照组(P<0.05)。治疗后观察组患者生活质量功能量表评分明显高于对照组(P<0.05)。结论:桂枝龙骨牡蛎汤结合心脏康复计划能有效改善心脏神经官能症患者临床症状,减缓患者的焦虑抑郁状态,提高患者生活质量。
Objective:To analyze the effect of cardiac rehabilitation program and Chaihu Longmu Decoction on the quality of life and anxiety and depression of patients with heart neurosis.Methods:Sixty patients with heart neurosis selected from March 2016 to April 2017 in our hospital were as the research objects and randomly divided into two groups.The control group were treated with Xuesaitong Soft Capsule.The observation group were treated with Chaihu Longmu Decoction.The clinical curative effects of combined cardiac rehabilitation program of two groups were compared after treatment.The anxiety,depression,life quality and TCM symptoms scores were compared.Results:After treatment,the two groups′ total efficiency of the observation group(90%) was significantly higher than the control group′s 70%.The clinical curative effect of observation group was significantly better than that of the control group(P<0.05).After treatment,the observation group′s scores of anxiety and depression symptom score were significantly lower than those of the control group(P<0.05).The scores of life quality and function scale in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Chaihu Longmu Decoction combined with cardiac rehabilitation program can effectively improve the clinical symptoms,reduce the anxiety and depression and improve the quality of life of patients with heart neurosis.
Objective:To analyze the effect of cardiac rehabilitation program and Chaihu Longmu Decoction on the quality of life and anxiety and depression of patients with heart neurosis.Methods:Sixty patients with heart neurosis selected from March 2016 to April 2017 in our hospital were as the research objects and randomly divided into two groups.The control group were treated with Xuesaitong Soft Capsule.The observation group were treated with Chaihu Longmu Decoction.The clinical curative effects of combined cardiac rehabilitation program of two groups were compared after treatment.The anxiety,depression,life quality and TCM symptoms scores were compared.Results:After treatment,the two groups′ total efficiency of the observation group(90%) was significantly higher than the control group′s 70%.The clinical curative effect of observation group was significantly better than that of the control group(P<0.05).After treatment,the observation group′s scores of anxiety and depression symptom score were significantly lower than those of the control group(P<0.05).The scores of life quality and function scale in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Chaihu Longmu Decoction combined with cardiac rehabilitation program can effectively improve the clinical symptoms,reduce the anxiety and depression and improve the quality of life of patients with heart neurosis.
引文
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[19]任印新,戴小华,花继平,等.益气温阳活血利水法对慢性心力衰竭患者心功能及N端前脑钠肽、超敏C反应蛋白的影响[J].现代中西医结合杂志,2016,25(17):1831-1833.
[20]曾浪泉.甘麦大枣汤联合安神定志丸加减治疗心脏神经官能症临床观察[J].中医临床研究,2017,9(7):73-74.
[21]邵红,解芳.护理干预对心脏神经官能症的影响及生活质量评价[J].中国实用神经疾病杂志,2016,19(6):129-131.
[22]杨军用,甘霞,杨百京,等.柴胡加龙骨牡蛎汤加减治疗心脏神经官能症60例[J].中医临床研究,2017,9(10):81-82.
[23]霍瑞楼.逍遥散联合归脾汤加减对心脏神经官能症患者心脏自主神经功能的影响[J].河北中医,2016,38(4):565-568.
[24]邓梅,杨相凤.认知自助疗法在心脏神经官能症患者中的应用研究[J].现代中西医结合杂志,2014,23(9):1011-1013.
[25]王评,夏裕,郑壁伟,等.加味桂枝龙骨牡蛎汤治疗心脏神经官能症的临床观察[J].中国中医药科技,2014,21(4):415,417.
[2] 原晨,赵志付.赵志付刚柔辨治心脏神经官能症[J].吉林中医药,2014,34(8):780-782.
[3] Senni M,Paulus WJ,Gavazzi A,et al.New strategies for heart failure with preserved ejection fraction:the importance of targeted therapies for heart failure phenotypess[J].Eur Heart J,2014,35(40):2797-2815.
[4] 葛均波,永健.内科学[M].8版.北京:人民卫生出版社,2013:166.
[5] 中华医学会心血管病分会,中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2014[J].中华心血管病杂志,2014,42(2):98-122.
[6] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:77-85.
[7] 国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:30.
[8] 汪向东.心理卫生评定量表手册(增定版)[M].北京:中国心理卫生杂志社,1999:235.
[9] Roe AT,Frisk M,Louch WE.Targeting Cardiomyocyte Ca2+ Homeostasis in Heart Failure[J].Curr Pharm Des,2015,21(4):431-448.
[10] Oktay AA,Shah SJ.Diagnosis and Management of Heart Failure with Preserved Ejection Fraction:10 Key Lessons[J].Curr Cardiol Rev,2015,11(1):42-52.
[11] 程丹,程晓昱.益气温阳活血利水法治疗慢性心力衰竭的研究进展[J].中医药信息,2016,33(1):111-113.
[12] The Criteria Committee of the New York Heart Association.Nomenclature Eritrea for diagnosis of disease of the heart and great vessel[M].6th ED.USA:Little Brown&Co,1964:114.
[13] 谢占清,王玉双,李晓磊,等.心脏神经官能症针灸诊治思路[J].中国中医药信息杂志,2016,23(3):110-111.
[14] 秦华.联合用药多靶点治疗心脏神经官能症的临床研究[J].中西医结合心脑血管病杂志,2015,13(9):1135-1136.
[15] 唐小霞,粱力,张勇,等.益心舒胶囊治疗心脏神经官能症的临床观察[J].中西医结合心脑血管病杂志,2015,13(7):949-950.
[16] Oni-Orisan A,Lanfear DE.Pharmacogenomics in Heart Failure:Where Are We Now and How Can We Reach Clinical Application?[J].Cardiol Rev,2014,22(5):193-198.
[17] 刘强,王评,夏裕,等.温心安神汤治疗心脏神经官能症[J].长春中医药大学学报,2014,30(3):465-467.
[18] 陈康桂,肖波,朱康妹,等.真武汤合桂枝茯苓丸治疗慢性肺源性心脏病心力衰竭的临床观察[J].中国中医急症,2014,23(11):2121-2122.
[19]任印新,戴小华,花继平,等.益气温阳活血利水法对慢性心力衰竭患者心功能及N端前脑钠肽、超敏C反应蛋白的影响[J].现代中西医结合杂志,2016,25(17):1831-1833.
[20]曾浪泉.甘麦大枣汤联合安神定志丸加减治疗心脏神经官能症临床观察[J].中医临床研究,2017,9(7):73-74.
[21]邵红,解芳.护理干预对心脏神经官能症的影响及生活质量评价[J].中国实用神经疾病杂志,2016,19(6):129-131.
[22]杨军用,甘霞,杨百京,等.柴胡加龙骨牡蛎汤加减治疗心脏神经官能症60例[J].中医临床研究,2017,9(10):81-82.
[23]霍瑞楼.逍遥散联合归脾汤加减对心脏神经官能症患者心脏自主神经功能的影响[J].河北中医,2016,38(4):565-568.
[24]邓梅,杨相凤.认知自助疗法在心脏神经官能症患者中的应用研究[J].现代中西医结合杂志,2014,23(9):1011-1013.
[25]王评,夏裕,郑壁伟,等.加味桂枝龙骨牡蛎汤治疗心脏神经官能症的临床观察[J].中国中医药科技,2014,21(4):415,417.
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